Summer Camp Registration



For children ages:  3-9 years
Days/times:  Monday – Thursday  8 am – 4 pm
Cost:  $30.00 day/$100.00 week

Our camps are designed to get outside and explore our parks, creeks, and neighborhoods in Duluth. Each camp has a different theme with a wide variety of activities to participate in.  The children should be dressed in layers and wear tennis shoes.

REQUIREMENTS:
Sunscreen: Apply a layer of sunscreen on your child in the morning.  The staff will reapply a layer after lunchtime.  Leave a small bottle of sunscreen with your child's first and last name clearly labeled.  You must sign permission for staff to apply sunscreen on the registration form.
 Water bottle:  Send a medium sized water bottle with your child to camp every day.  We will carry them with us on all of our adventures.
Tennis Shoes:  Toe covered shoes or shoes that won't slip off while walking.
Updated Immunization: Signed form should be turned in with the camp application.
Allergy Information/Medication:  Please let us know of  ALL allergies.
Extra Clothing:  Put extra clothing in a plastic bag in your child's backpack.
Bagged Lunch:  We take our lunches with us on our adventures.  Pack a balanced and nutritional lunch.  A Fruit/Vegetable/Protein and Grain should be included into each lunch.
Tuition:  Paid at the beginning of each camp.  Fill out the form on the back of the registration form and retain this for your records.  You will be charged for the camp if you cancel less than 2 days in advance.

CAMPS OFFERED:

            Camp 1           June 12-15                  Sports
            Camp 2           June 19-22                  Sports
            Camp 3           June 26-29                  Sports/Heroes
            Camp 4           July 10-13                   Space
            Camp 5           July 17-20                   Space/Planets
            Camp 6           July 24-27                   Explore Duluth
            Camp 7           July 31 -3                    Explore Duluth
            Camp 8           Aug 14-17                   Nature
            Camp 9           Aug 21-24                   Nature/Camping Out
            Camp 10         Aug 28-31                   Nature/Summer Fun

JUNE                                     Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Sports
12th
13th
14th
15th
Sports
19th
20th
21st
22nd
Sports
26th
27th
28th
29th

JULY                                     Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Space
10th
11th
12th
13th
Space
17th
18th
19th
20th
Explore Duluth
24th
25th
26th 
27th
Explore Duluth
31st
1st
2nd
3rd

AUGUST                               Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Nature     
14th
15th
16th
17th
Nature
21st
22nd
23th
24th
Nature
28th
29th
30th
31st


Please keep this page for your records.
Return the following page by May 1st.
Check the days that your child will be attending.  Payment for the camp is due by the first day of camp.  If there are changes to your child's schedule, please let us know 2 days in advance or you will be charged for the time scheduled.

JUNE                            Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Sports
12th
13th
14th
15th
Sports
19th
20th
21st
22nd
Sports
26th
27th
28th
29th

JULY                             Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Space
10th
11th
12th
13th
Space
17th
18th
19th
20th
Explore Duluth
24th
25th
26th
27th
Explore Duluth
31st
1st
2nd
3rd

AUGUST                     Tuition owed:
Camp Theme
Monday
Tuesday
Wednesday
Thursday
Nature
14th
15th
16th
17th
Nature
21st
22nd
23rd
24th
Nature
28th
29th
30th
31st

2017 Congdon Creek Outdoor Adventure Camp Registration Form


CHILD'S NAME____________________________________________________________________

ADDRESS_______________________________________________________ Zip Code__________

ALLERGIES_______________________________________ D.O.B.__________________________

PARENT'S NAME_______________________________________ Cell #______________________

ADDRESS_______________________________________________________Zip code___________

EMAIL ADDRESS____________________________________________________________

PARENT'S NAME_______________________________________ Cell #______________________

ADDRESS______________________________________________________Zip code____________

EMAIL ADDRESS___________________________________________________________

Emergency Contact_______________________________________ Cell #_____________________

Address_________________________________________________zip code____________________

Emergency Contact_______________________________________Cell #______________________

Address_________________________________________________ zip code____________________

Doctor's Name____________________________________________ phone #____________________

Dentist's Name____________________________________________ phone #____________________

ALLERGIES________________________________________________________________________

In case of emergency, permission is granted to secure medical treatment for my child when I cannot
be reached.   (circle one)  St. Luke's Hopital                         Essentia Health

Signature_______________________________________ date______________________

I give permission to Congdon Creek Staff to put sunscreen on my child.

Signature_________________________________________________ date______________________


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